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TLX250-CDx (Zircaix)

Phase 3

Clear Cell Renal Cell Carcinoma | Small molecule | Oncology |Telix Pharmaceuticals Limited|Last Updated: Dec 27, 2024

Success Probability

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Trial Design

UNCONTROLLEDDMC
Total Trials1
Total Enrollment82

FDA Designations

PRIORITY_REVIEW

Clinical trial landscape

TLX250-CDx (Zircaix) · 1 trial · 1 indication

Phase 3 1
NCT0675041989Zr-TLX250 for PET/CT Imaging of ccRCC - ZIRCON-CP StudyClear Cell Renal Cell Carcinoma
RECRUITING82 Analytics
PHASE3RECRUITING
89Zr-TLX250 for PET/CT Imaging of ccRCC - ZIRCON-CP Study
Clear Cell Renal Cell CarcinomaUnlock trial analytics

Study Endpoints

Primary Endpoints

To evaluate the sensitivity and specificity of qualitative assessment of PET/CT imaging with 89Zr-TLX250 to non-invasively detect ccRCC in patients with indeterminate renal masses, using histology as standard of truth
From Visit 4 till end of study. Diagnostic PET/CT scan on Day 5±2 days post 89Zr-TLX250 administration. Histological confirmation of the material from nephrectomy conducted within 90 days post 89Zr-TLX250 administration served as standard of truth

Evaluating this outcome involved using a PET/CT machine on all patients to determine the uptake of the Zr89 radiotracer within the renal lesion, which was then compared to the histological determination of the lesion type following resection

Secondary Endpoints

To determine the 89Zr-TLX250's test performance
Day of Imaging (Day 5±2 post- IP administration).
To assess the safety and tolerability of 89Zr-TLX250
Day of IP administration (Day 0), Day of Imaging (Day 5±2 post- IP administration), Post-Imaging study visit (Day 42±7 post- IP administration), Day of surgery (within 28 days post-IP administration) or Day of surgery (28-90 days post-IP administration)
To evaluate the impact of 89Zr-TLX250 PET/CT on clinical decision-making as a diagnostic tool
Day of Imaging (Day 5±2 post- IP administration), Post-Imaging study visit (Day 42±7 post- IP administration), Day of surgery (within 28 days post-IP administration) or Day of surgery (28 to 90 days post-IP administration).
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeDIAGNOSTIC

Treatment Arms

ArmTypeDescription
Experimental arm receiving the IPEXPERIMENTALApproximately 82 evaluable adult patients will be recruited from approximately 8 renal cancer care specialist centres with access to state-of-the-art PET/CT imaging in mainland China. The number of enrolled participants may be increased to ensure sufficient confidence in measuring sensitivity and specificity of 89Zr-TLX250 PET/CT imaging. Following pre-screen morphological imaging to confirm evidence of IRM (to occur within 90 days of study enrolment), participants will attend a screening visit within 30 days of study enrolment, at which time baseline examinations will be undertaken. On Day 0, all successfully screened participants will undergo a slow IV administration of 89Zr- TLX250, at the nuclear medicine service of the respective study site. For all subjects, a PET/CT scan of the abdomen will occur on visit Day 5 (±2 days post administration \[p.a.\]) with nephrectomy to be performed any time after the PET/CT imaging visit, but no later than 90 days p.a. 89Zr-TLX250.

Interventions

NameTypeDescription
89Zr-TLX250 PET/CTDRUG89Zr-TLX250, is a chimeric monoclonal antibody (INN name: girentuximab) with specificity for the CAIX (carbonic anhydrase 9) antigen, radiolabelled with the positron emitting radiometal zirconium- 89. Girentuximab has a CAS number of 916138-87-9. The chemical formula, without the 89Zr and the desferrioxamine, is C6460H1006N1718O2018S48 with a molecular mass of 146.5 kg/mol. 89Zr-TLX250 is formulated as a solution for IV administration in glass vials at the nominal dosage strength of 37 MBq (±10%) for single IV use. The mass dose of 89Zr-TLX250 to be used in this Phase 3 study will be 10 mg, labelled with 37 MBq (±10%) 89Zr per dose.
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites8

Inclusion Criteria: 1. Written and voluntarily given informed consent. 2. Mainland Chinese male or female, aged ≥ 18 years. 3. Imaging evidence of a single IRM of ≤ 7 cm in largest diameter (tumour stage cT1), on SoC imaging based on national standards, not older than 90 days on Day 0, but performe...

Countries:China
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Frequently asked questions about TLX250-CDx (Zircaix)

What is TLX250-CDx (Zircaix) used for?

TLX250-CDx is an investigational PET/CT imaging agent being developed for clear cell renal cell carcinoma, the most common form of kidney cancer. It is designed to help visualize and characterize ccRCC lesions during diagnostic imaging. It is not yet approved and remains in clinical development.

Who is developing TLX250-CDx?

TLX250-CDx is being developed by Telix Pharmaceuticals Limited, which trades under the ticker TLX. The company is advancing the agent as part of its oncology imaging portfolio, with the ZIRCON-CP study currently recruiting participants in China.

What phase is TLX250-CDx in?

TLX250-CDx is in Phase 3 clinical development. The ongoing ZIRCON-CP study is a Phase 3 trial evaluating the agent for PET/CT imaging of clear cell renal cell carcinoma. The program has received a Priority Review designation from the FDA, though the agent remains investigational.

What clinical trials is TLX250-CDx in?

TLX250-CDx is being evaluated in the ZIRCON-CP study, registered as NCT06750419. This Phase 3 trial is currently recruiting and plans to enroll 82 participants aged 18 years and older in China. It is an open-label, uncontrolled study assessing the imaging agent in clear cell renal cell carcinoma.